Organization · Type 2 NPI
Modern Allergy
Allergy Physician · Parker, CO
NPI number
1548620875
Active
Practice location
10446 Stonewillow Dr
Parker, CO 80134-2503
Fax (720) 292-1821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | DR49051 (CO) |
| Allergy Physician Primary | 207KA0200X | DR49051 (CO) |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | DR49051 (CO) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1548620875
Modern Allergy's National Provider Identifier is 1548620875, issued on Feb 29, 2016. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Parker, CO. The record was last updated on Feb 29, 2016.